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Individual

DR. NYSA MARINDA PAYSOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8680 HOSPITAL WAY, MANASSAS, VA 20110-4287
(703) 369-8464
(703) 369-8467
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 369-8055
(703) 369-8565

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101254242
VA
2084P0800X
Psychiatry Physician
D82244
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811124076
VA
Enumeration date
06/16/2009
Last updated
11/07/2019
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